OR Pet peeves - page 11
Having worked in the OR for years, have you developed any pet peeve? Stuff co-workers do that bugs you...daily situations that irritate you? I'm really easy going most of the time but on a looong... Read More
1Jul 10, '12 by CIRQL8Quote from canesdukegirlBeen there. Done that. Lol.Oh, I have a good one.
You set up your room for a complicated case that is blocked for 8 hours. You get the microscope in the room, get the special chairs, call the rep, make sure implants are ready to go, alert the 2nd surgeon (joint case) that the pt has arrived in pre-op, and open everything you need for the case. You have all of your paperwork in order, have already filled out pathology slips, blood gas slips, and ensure that the pt has 2 units PRBC waiting in the blood bank.
You go interview your pt in pre-op. Everything is copacetic, but the pt seems to be squirming too much, and won't look you in the eye when answering questions. The anesthesiologist then interviews the pt only to learn that he had a Bojangles biscuit on the way to the hospital because his wife really wanted breakfast, and her sadistic butt went through the drive through, and he just couldn't help himself. He was STARVING!
So now the case is cancelled, all of the specialty supplies go to waste, the surgeons are mad, and then you get all the butt-pus add on cases in your room for the rest of the day. *sigh
I've heard "I didn't know that BREAKFAST was included in the NPO order."
Sent from my iPad (so excuse any typos and autocorrects!!) using allnurses.com
1Jul 16, '12 by Winx511) Smart mouth PA's who talk too much during the case; "please keep the chit chat to a min while the surgeon is working".
2) Lazy ST's; "Im not running for you anymore-either open the must have supplies on the back table and keep the might needs here in the room or you will not be scrubbing in this OR today-are there any questions?"
3) Rep's; not allowed in the room until the surgeon needs them-or the tech has a question about the system being used.
4) CRNA's and Anesthesiologists who bring their roll aboard suitcases; "that is not allowed in the OR". If they don' remove it then I call the Chief. Works like a charm.
5) ST's who leave extra supplies in the room; Ill put this half up and you put this half up. If they don't then I politely remind them before the day is up. If I find it their the next morning then I tell them that i need for them to put their supplies away from yesterday.
6) Late ST's. If I have 5 total joints that start at 07:15 please don't show up at 06:50 to set up. I don't need to explain that one.
7) We had a hand surgeon who was a screamer. What a little jerk. He screamed at one of my old managers in front of every one; made her cry. I said "real classy". He glared at me; I was waiting; he would have lost.
8) Surgeons who stand around the room after a total joint asking are we ready yet? Does it look like were ready? Ill page you when it is time to ID. Don't you have X-rays to look at?
9)I always tightened their headlights one or two clicks between cases. Fun.
10) Had a bossy med student one day----asked them to leave.Sat out in the hall and pouted.
11) 3 surgeons = 3 beepers. Is this an emergency? He'll call you later. ps..put em all on vibrate.
12) Tie green gowns in a knot.
13) After 16 years I had had it. I think that generation is on its way out. The new guys are better. Hospitals are finally wising up and being much more selective with their hiring process. Creating a better culture and then protecting it. For those of you who have issues with folks in the OR; state the policy. they can't argue with it. Be diplomatic and you'll almost always win.Last edit by Esme12 on Aug 30, '12
0Aug 1, '12 by DeargceannA. I actually had a resident tell me the other day that he needed me to page someone but he didn't know their name or department.
B. Surgeons who have their own nurse they like and there is nothing you can do to make them happy.
C. Surgeons who hold up the case doing God knows what and they walk in the room and say Time in, Time out like it's your fault.
0Aug 28, '12 by HollywoodDivaMy scrub takes almost 90 minutes to prepare for a shoulder scope and states she is ready and set up then when the case starts she doesn't have pump tubing!!! Another case we have scheduled and it's an I&D of perirectal abscess and my scrub asks me if she should open a tray or have leggings for the stirrups!!! (20 yrs of supposed experience) I say yes you need to get instruments before I come into the room with the patient. I arrive with the patient and do what needs to be done...pt is prepped and draped and surgeon is ready to operate and there are no INSTRUMENTS on her back table just the basic pack!!! Are you kidding me??? Then has the audacity to tell me the suction is not hooked up and there is a minor tray outside the room??? Really??? Where exactly is the rectal tray and how is this surgeon supposed to operate on this case???? Is she supposed to work with invisible instruments today??? Grrrrrrr!!!!
0Sep 9, '12 by elgin1962Can't top any of these, been there done that and feel your pain all too well. I'm in a really good place now but.....1) surgeon's phone rings and a certain cardiologist always gives a 20 min dissertation about a consult she wants said surgeon to see. Are you serious? I'm circulating a CABG and I don't have the time or inclination to listen to this non urgent blather that can be summed up in a few words like "please have Dr so and so contact my office about a consult" Better yet, tell his appt secretary at his office---geez!2) staff who never clock in on time and still others who don't mind letting the rest of us rush around to set the OR up while they stop at Starbucks to get coffee and breakfast because they overslept--again--"and it was quicker that eating at home" Seriously? The only way that's going to fly is if you're buying all of us breakfast and serve it with profuse apologies and this cannot happen routinely.3) the nurse manager who gets a wild hair and rearranges the instrument room--AGAIN-- with a new and improved way of arranging things. New and improved? Not when I come flying in on call and can't quickly find something because it's been moved 3 times in 6 months from its usual place4) Having to now spend so much time on the computer doing data entry for inventory control that I feel more like a checker at the local market than an RN who is supposed to be focused on advocating for my patient and patient care than data processing But ya know, despite my whining, I wouldn't trade places with anyone else because I am exactly where I should be, doing what I love to do. We all need to vent once in awhile and I have enjoyed this thread and found myself nodding my head in agreement with nearly every post!
0Oct 1, '12 by goats'r'usi have a lot of little peeves, most of them so petty that i feel silly about bringing them up, but they make me so cross!
*med students/junior doctors who, while scrubbed, try to take instruments from me to pass to the surgeon. i know they're trying to help and feel involved, but i'm keeping track of what goes up and comes back, and also am handing the instrument properly, so that the surgeon doesn't have to look at it or turn it around to use it.
*people who undo the back of my gown as soon as i push my trolley away from the table at the end of the case. i know you'e trying to help, but I'd like to keep it on to protect my clothes and my skin while i'm tidying my trays and throwing out gross stuff, but now its falling off my shoulders in a most annoying way and i'm tripping over the hem.
*people who come and start throwing thing out off my trolley at the end of the case. i know you're trying to help, but i've got mess everywhere, still have sharps on the table, and am trying to put my trays back together and do a final check with myself that everything's back where it belongs.
*med students/junior doctors/assistant surgeons/scout nurses who repeat everything the consultant asks for. i know he wants a forcep, i heard him ask for it too, which is why I’m holding it right now, and don’t you worry, just as soon as he puts his hand out, I’ll give it to him.
*scout nurses who pick and choose what they think I’ll need out of the pile of stuff I’ve put out to be opened at the start of a case. I’m trying to make it easy for them, I’ve asked the surgeon what they want, and have selected the stuff I’d like to have opened and put it all in one place, ready for my scout to just go ‘bam, bam, bam’, but no, they’d rather pick and choose what they think I’ll want, so that at the start of the case I’m still standing there looking disorganised asking for things.
*scout nurses who think that the most important thing to open at the start of a crash caesarean is the surgeon’s gloves so that they don’t have to go through the trauma of putting on their gown, when turning 90degrees to their left to take their gloves from the scout. Sure, its nice to have everything ready for the surgeon, but I’m sure they’d prefer I had the caesarean tray and a blade.
*surgeons who ask for something they want in 5 minutes time. We have a surgeon who does this all the time. He’ll say ‘prepare the 3/0 vicryl’, then a minute later will put out his hand. So you give him the 3/0 vicryl, and he looks at you like you’re an idiot because what he wants is a scissor, then a haemostat, then a tie, then a suture scissor, THEN a 3/0 vicryl.
*people who tell people what I want without asking me. ‘oh no, goats doesn’t like doing craniotomies’ (news to me. actually I really enjoy them. Even the scary ones). ‘no, goats won’t want to work with that surgeon, he’s rude and mean’ (he’s rude and mean to YOU because you don’t know what you’re doing and you insist on calling him ‘sir’. He’s perfectly civil to me and I’d much rather work with him that one of his whingey colleagues, who refuse to acknowledge my presence because I refuse to pander to their whining). this one goes for real life too.
*people who confuse me wanting to do things the right/safe/legal way with being a control freak.
*people who try to perform a surgical count without referring to the count sheet. I know you trust your memory, but I don’t trust it! I know I’ve been guilty of it once or twice in speedy little cases, but at the end of a four hour laparotomy where multiple staff have opened extra items for me, I just think it’d be a nice idea for you to peek at the count sheet as we go. I try to explain that it’s best practice – I’m just being stubborn. I try to refer to the ACORN standards – I’m just being difficult. I try to explain that I’ve done a case before where the scout counted everything without referring to the count sheet, then went back to the bench and wrote all the numbers in as correct according to the count sheet, only for me to find another hypodermic on my trolley that we hadn’t counted in our second count.. but don’t worry, despite not counting it, my scout had written it in as present J
*people who don’t use professional language/legible penmanship/correct spelling on paperwork. I should not have to tell an experienced colleague not to scribble things out, nor should I have to explain that in the event that a laparoscopic bowel resection goes open, the procedure should be stated as ‘laparoscopic bowel resection converted to open procedure’. And for Pete’s sake, its ‘Lower uterine segment caesarean section, live female infant delivered @.....’ not ‘LUCS, baby girl born @....’ the diathermy plate is not on the patient’s bottom, and that labial abrasion you noticed when you put the catheter in is not a ‘reddened vagina’.
*people who take extra-long breaks when we’re running a really fast-paced list. Sure, there are times when I won’t mind if you take an extra couple of minutes, have one more biscuit, tell one last bit of gossip, but when you know you’ve left me running my tail off with a narky surgeon, I mind.
*people who flat-out refuse to work in a specialty. I do a bit of everything, and I really don’t see why you cant too.
Wow.. what a debrief! There’s probably more too!
0Oct 1, '12 by goats'r'usHa ha, i remembered another one..
Peekers. our theatre doors have little windows in them, and i get so so cross when i'm in the middle of a stressful emergency case and i look up at the door to see three or four faces peeking through. not trying to be nosy about the case, just checking up on me. on more than one occasion i've had to pull dagger eyes and wave in an unmistakable 'eff off' manner, and once, when that didn't work i had to call them into the room to ask 'is there a problem? no? then GO AWAY, I'M TRYING TO CONCENTRATE ON CLIPPING A FRIGGING ANEURYSM!'
i used to work with a lovely german lady who, if someone tried to take something off her trolley, would slap their hand and say 'this is not tesco'. i'm often tempted to shoo people away with a brisk, german accented 'this is not cinema'